Silence is NOT Golden

Have you noticed the number of behavioral health drugs advertised in newspapers and on the TV? The stigma of having a behavioral health issue is slowly becoming less of an issue, people are opening up to more discussion. The silence is slowly turning to some noise. In the following article written by famous actress Glenn Close and posted on the Huffington Post,
http://www.huffingtonpost.com/glenn-close/mental-illness-the-stigma_b_328591.html,
Glenn makes the following comment; “What mental health needs is more sunlight, more candor, more unashamed conversation about illnesses that affect not only individuals, but their families as well”.

MINES and Associates is a national business psychology firm that deals with EAP, Managed Behavioral Care and BIZPysch consulting services. We have been in business for over 25 years and our capable team of highly trained professionals can help you, your family members, your colleagues and/or your friends. Please check us out on our web page; www.minesandassociates.com.

Please read Glenn’s article below and call or e-mail me with any questions or comments. Thanks!

Allan Benson
MINES and Associates
720-979-8046

apbenson@minesandassociates.com

 

Mental Illness: The Stigma of Silence
By Glenn Close,
Emmy, Golden Globe and Tny Award Winning Actress

Mental illness and I are no strangers.
From Alex Forrest in Fatal Attraction to Blanche Dubois in A Streetcar Named Desire to Norma Desmond in Andrew Lloyd Weber’s Sunset Boulevard, I’ve had the challenge — and the privilege — of playing characters who have deep psychological wounds. Some people think that Alex is a borderline personality. I think Blanche suffers from post-traumatic stress disorder and everyone knows that Norma is delusional.

I also have the challenge of confronting the far less entertaining reality of mental illness in my own family. As I’ve written and spoken about before, my sister suffers from a bipolar disorder and my nephew from schizoaffective disorder. There has, in fact, been a lot of depression and alcoholism in my family and, traditionally, no one ever spoke about it. It just wasn’t done. The stigma is toxic. And, like millions of others who live with mental illness in their families, I’ve seen what they endure: the struggle of just getting through the day, and the hurt caused every time someone casually describes someone as “crazy,” “nuts,” or “psycho”.

Even as the medicine and therapy for mental health disorders have made remarkable progress, the ancient social stigma of psychological illness remains largely intact. Families are loath to talk about it and, in movies and the media, stereotypes about the mentally ill still reign.
Whether it is Norman Bates in Psycho, Jack Torrance in The Shining, or Kathy Bates’ portrayal of Annie Wilkes in Misery, scriptwriters invariably tell us that the mentally ill are dangerous threats who must be contained, if not destroyed. It makes for thrilling entertainment.

There are some notable exceptions, of course — Dustin Hoffman in Rainman, or Russell Crowe’s portrayal of John Nash in A Beautiful Mind. But more often than not, the movie or TV version of someone suffering from a mental disorder is a sociopath who must be stopped.
Alex Forrest is considered by most people to be evil incarnate. People still come up to me saying how much she terrified them. Yet in my research into her behavior, I only ended up empathizing with her. She was a human being in great psychological pain who definitely needed meds. I consulted with several psychiatrists to better understand the “whys” of what she did and learned that she was far more dangerous to herself than to others.
The original ending of Fatal Attraction actually had Alex commit suicide. But that didn’t “test” well. Alex had terrified the audiences and they wanted her punished for it. A tortured and self-destructive Alex was too upsetting. She had to be blown away.

So, we went back and shot the now famous bathroom scene. A knife was put into Alex’s hand, making her a dangerous psychopath. When the wife shot her in self-defense, the audience was given catharsis through bloodshed — Alex’s blood. And everyone felt safe again.

The ending worked. It was thrilling and the movie was a big hit. But it sent a misleading message about the reality of mental illness.

It is an odd paradox that a society, which can now speak openly and unabashedly about topics that were once unspeakable, still remains largely silent when it comes to mental illness. This month, for example, NFL players are rumbling onto the field in pink cleats and sweatbands to raise awareness about breast cancer. On December 1st, World AIDS Day will engage political and health care leaders from every part of the globe. Illnesses that were once discussed only in hushed tones are now part of healthy conversation and activism.

Yet when it comes to bipolar disorder, post-traumatic stress, schizophrenia or depression, an uncharacteristic coyness takes over. We often say nothing. The mentally ill frighten and embarrass us. And so we marginalize the people who most need our acceptance.

What mental health needs is more sunlight, more candor, more unashamed conversation about illnesses that affect not only individuals, but their families as well. Our society ought to understand that many people with mental illness, given the right treatment, can be full participants in our society. Anyone who doubts it ought to listen to Kay Redfield Jamison, a psychiatry professor at Johns Hopkins, vividly describe her own battles with bipolar disorder.
Over the last year, I have worked with some visionary groups to start BringChange2Mind.org, an organization that strives to inspire people to start talking openly about mental illness, to break through the silence and fear. We have the support of every major, American mental health organization and numerous others.

I have no illusions that BringChange2Mind.org is a cure for mental illness. Yet I am sure it will help us along the road to understanding and constructive dialogue. It will help deconstruct and eliminate stigma.

The World Health Organization (WHO) estimates that by the year 2020 mental illness will be the second leading cause of death and disability. Every society will have to confront the issue. The question is, will we face it with open honesty or silence?

Transcend – 9 Steps to Living Well Forever

According to a new book titled Transcend, by Ray Kurzweil there are 9 steps we can follow that create wellness and forestall aging and disease processes.  Here are the steps:

1) Talk with your doctor

2) Relaxation

3) Assessment

4) Nutrition

5) Supplements

6) Calorie Reduction

7) Exercise

8 New Technologies

9) Detoxification

You grew older today, but did you age as well?  If you drank a few cups of green tea, had five servings of fruits and vegetables, exercised for at least 30 minutes at your target heart rate, took nutritional supplements optimized for your age and health situation, spent quality time with close friends and loved ones, had a romantic time with your spouse or significant other, and got 8 hours of quality sleep, then you probably aged very little if at all.

Posted by Ian

Sales Consultant at MINES

Mental Health Issues Among College Students

Driving to work this morning I heard this fantastic story on NPR. College is a difficult transition for so many students to make, but with more people around accepting and paying attention to mental illness, that transition can be made much easier. Mental illness is not something that should be swept under the rug, and with more awareness and respect, students can feel comfortable in their college settings and be set up on a path to success. Click on the following link to hear the NPR story in full. 

http://www.npr.org/templates/story/story.php?storyId=113835383

Sarah Kinnel

Marketing Assistant

HAPPENINGS FROM ACCOUNT MANAGEMENT

EAP & Managed Care – A Good Fit

Last month we talked about the new mental health parity law going into effect as of October 3.  One of the best ways for self-insured groups to make certain their benefits are working well is to use the EAP:

  1.  If employees use their EAP before going to their insurance benefit, there is a cost saving to both the employee and the employer.  The employee has no deductible, co-pay or co-insurance.  For the organization, the cost of sessions does not come out of the insurance pool.  Depending on the EAP model, a large percentage will be able to resolve their issues within the EAP.
  2. If the employee needs care beyond what the EAP can provide, the case manager can help the employee find the appropriate provider and level of care needed.

 

MINES has been providing managed behavioral healthcare since 1986 with a 98% satisfaction rate.  Your account management staff is always available to consult with you in making decisions about whether to provide managed behavioral healthcare and what is appropriate for your organization.

 

Benefit Fair Time

Thanks to those of you who have given us advanced notice on participating in your benefit fair or open enrollment.  So far we have 41 meetings scheduled for the season.   Please call us if you are planning an event so we can be there for you.

 

Welcome To:

The City of Fountain, Colorado – America’s Millennium City and 2002 All-America City. Located at the base of Pikes Peak, part of the great, bold, rugged Rocky Mountain Range, Fountain has all the amenities of urban living at its doorstep, yet is still a place where people enjoy the advantages of neighborly living in a small town atmosphere.

 

Info from our friends at Mental Health America:

 

The fourth annual “Our Health Matters” Community Health and Lifestyle Expo will be held from 11 a.m. – 3 p.m. on Saturday, October 17, 2008 at Rachel B. Noel Middle School (5290 Kittridge St., Denver, 80239). As part of this year’s series on health, a team of bilingual panelists will dispel myths, discuss preventive measures for keeping the H1N1 virus at bay, and the pros and cons of the H1N1 vaccine for attendees.  In addition to the presentation, which will be held at noon, screenings and services will include

free dental screenings and exams for children, blood pressure, cholesterol, HIV and other sexually-transmitted diseases, as well as fitness and tobacco prevention and cessation. Children’s activities and a food court will also be available.

 

Judy Braun

Peggy Hill

Britney Kirsch

Account Management

Psychology of Performance – 6 Impeccable Sobriety

Impeccable sobriety is a phrase I first ran across in Carlos Castaneda’s work. To paraphrase, it is doing nothing that detracts you from reaching your goal. In the psychology of performance this is a powerful concept. We visualize what we want to achieve, see a process/plan for getting there, identify the resources we need to get there, attain the resources, and start. Impeccable sobriety implies that we do not deviate from this course. What happens to most people is that they run low on resources (i.e., dont get enough sleep and are too tired, did not work out and have less stamina, drank and were unfocused, did drugs, overate, let their high risk tendencies get them into situations that were not on track, let their risk aversive tendencies prevent them from effective action, let their all or none thinking get them into a relapse or untenable position, and so forth).  In Castaneda’s world, having less than impeccable sobriety for a shaman or an apprentice, would most likely get the person killed. What about your world, your dreams, goals and aspirations?

Have a day filled with compassion, sympathetic joy, loving kindness, equanimity and impeccalble sobriety.

Robert A. Mines, Ph.D.

CEO & Licensed Psychologist

Mines and Associates

6 tips for lazy workers to get ahead

Some great advice from Anthony Balderamma at CareerBuilder.com

Posted by Ian Holtz, Sales Consultant 9/28/09

On a recent flight I sat next to a businessman who told me that, even at that young age, his children were exhibiting very different personalities.

He saw signs of his wife’s overachieving tendencies in their son. In his daughter, he saw himself. In the first grade she was getting lectured for not applying herself enough. She, too, was a slacker.

He was frustrated by her slacking ways, but he also sympathized because she showed traits of his business mindset.

“She does her own little cost-benefit analysis,” he said. “She realizes that she can do just enough to get by and use the rest of that time for playing and having fun.”

I had never thought of slacking off in those terms, but he was right. I’ve known my share of slackers, and most of them are intelligent people who could easily upstage everyone else’s efforts if they applied themselves a bit more. They knew that. Yet, while everyone was in panic mode trying to get ahead, the slackers knew how to fulfill their obligations, get decent marks and enjoy a relatively stress-free existence.

I’m not saying we should all strive to be slackers. The balance between laid back and high strung workers is probably beneficial to everyone. But in this culture where we’re constantly being told to be better than everyone at everything, slacking off can be the right way to go for your health and your career.

Once upon a time work was a busy place. You showed up, worked hard, stayed late during your busiest periods and then went home.

Today, many people don’t escape work. Before they even arrive at the office, they’ve already sent a dozen e-mails from their phones and held teleconferences with people all over the country. Once you’re actually at work, things are even crazier.

The workplace is different today than it was 10, 20 and 30 years ago, but you should be able to pull back in some areas. You don’t need to overextend yourself to the point that you never relax.

Here are some ways you can be a “slacker” at work and benefit from it:

E-mail can wait. No, really, it can. You don’t have to answer an e-mail the moment it pops up on your screen. Unless you’re waiting for that one message that could make or break your career, you should designate time to check e-mails so that you don’t get distracted while doing other tasks. You can even disable the new message icon and noise alert to help with this.

Saying ‘no’ won’t get you fired. If the boss or someone comes to you with a task that’s part of your core job duties, by all means accept it. If you’re drowning in work, however, telling co-workers that you just can’t get to their request right now won’t necessarily hurt you. If you tactfully explain that you’d like to help them but you’ve got too much on your plate shows you care about the quality and promptness of your work.

Don’t multitask. The ability to simultaneously talk on the phone, send an e-mail and heat up the meatballs for the monthly potluck is an admirable quality but not necessarily the most beneficial. Multitasking has become the de facto approach to daily operations in many workplaces. The problem is that we often end up doing a little of everything and never making much progress on any one task.

Give yourself a break. Literally, just get away from work for five minutes. Take a walk around the floor or step outside for some fresh air. Without Saturday and Sunday off, you’d probably go a little stir-crazy. Think of brief breaks throughout the day as small-scale versions of weekends. You’ll return with a clear head and produce better quality work.

Don’t eat lunch at your desk. Eating at your desk can be an occasional necessity, either because you’re close to a deadline or you’re in a productive zone that you don’t want to interrupt. Having your lunch in front of a computer every day, however, doesn’t give your eyes or your mind time to relax. You might feel like a slacker if you’re the only one taking your sandwich outside for 30 minutes, but your mental health is worth it.

Schedule some “me” time. Go into your calendar and block off a period of time for whatever work you need to do without interruption. Treat that time as if it were an important appointment with your boss and consider it non-negotiable. If someone tries to schedule a meeting with you, tell him or her that you’re busy but can try for another time. If possible, book a conference room so you won’t be interrupted by a chatty co-worker or a phone call.

Balancing Work and Life

Going from being a full-time student to being a full-time employee has been quite the transition over the past couple of months. With graduation just around the corner, I am now beginning to see that my life is headed for some big changes. While school felt like a full-time job, classes were spread out and my schedule was far more flexible. Now that Monday through Friday is fully scheduled, I have realized that balancing work and life is feeling more important than ever. Finding time for family, friends, and relaxation is not always easy, but the good news is that it’s possible. The following article from http://topten.org/public/BI/BI103.html presents some helpful steps when it comes to finding some middle ground between work and personal life.

There is no single formula for attaining a balanced life. It is a personal decision how one combines their career, spouse/significant other, children, friends and self into an integrated whole. The key is to develop creative solutions as you approach the challenges of balancing the responsibilities and joys of your multiple roles. Some of the same skills and strategies you use at work such as planning, organizing, communicating, setting limits and delegating can be used effectively on the home-front for achieving a satisfying, fulfilling well-balanced life both personally and professionally.

1. BUILD A SUPPORT NETWORK

Ask for help and allow yourself to be helped and contributed to. Get your children involved–work together as a team. Recruit friends, family, neighbors, bosses, work colleagues, etc. and ask for their support. Create back-up and emergency plans; always have a contingency.

2. LET GO OF GUILT

Guilt is one of the greatest wastes of emotional energy. It causes you to become immobilized in the present because you are dwelling on the past. Guilt can be very debilitating. By introducing logic to help counter-balance the guilt you can stay better on course.

3. ESTABLISH LIMITS AND BOUNDARIES

Boundaries are an imaginary line of protection that you draw around yourself. They are about protecting you from other people’s actions. Determine for yourself what is acceptable and unacceptable behavior from other people. Boundaries and limits define how you take charge of your time and space and get in touch with your feelings. They express the extent of your responsibilities and power and show others what you are willing to do or accept. Without limits it’s difficult to say “no”.

4. DETERMINE YOUR OWN STANDARDS

Get rid of the notion of being a perfectionist. Wean yourself off it by making compromises–figure out where the best places to make the compromises are without short-changing yourself, your spouse, your children, your boss, etc. Live by your own standards rather than someone else’s. Standards are about YOU and refer to the behavior and actions you are willing to hold yourself to.

5. CREATE TIME FOR YOURSELF

Being a good parent, partner and professional means being good to yourself first. Use your mind to make some affirmations for yourself. Find ways to relax, relieve tension and minimize stress. Taking some time off for yourself will not only benefit you, but it will benefit your family tremendously!

6. GET ORGANIZED.

Set priorities, work smarter not harder, delegate (and really let go!). Create lists and save them for re-use. Keep a main calendar centrally located to post everyone’s activities.

7. BE FLEXIBLE

Forgive yourself when things don’t get done. Understand that with children things change at a moment’s notice. Be ready and willing to assume responsibility for any of the tasks that need to get done at any time. Never get too comfortable, because as soon as you seem to get things under control, they change! Also, realize that in order to achieve success many women have had to give up their original goals and substitute new ones with different but equal challenges. Negotiate for what you need.

8. ENJOY QUALITY FAMILY TIME

Spend quality/focused time with your family. Give them your full attention. Develop rituals you can all look forward to. Create relationships with your spouse and children that are not incidental but rather instumental to your success.

9. FIND RELIABLE CHILD CARE

Leave your kids in capable hands. Find someone you feel comfortable and confident in. If you’re feeling ambivalent about working or about leaving your child, etc. do not show it–your child (at any age) will pick right up on it. Feel proud when you’ve found someone who fits into your needs. Get involved with your child’s care providers by communicating frequently and observing interactions between caregiver and your child.

10. ACHIEVE AN INTEGRATED LIFE

Keep things in perspective. Create harmony in your life–a mixture of work, family and friends. Remember, there is no single formula for balance. It is a personal decision how one combines spouse, children and career.



About the Submitter

This piece was originally submitted by Natalie A. Gahrmann, M.A., Success Coach and Workshop/Seminar Leader, who can be reached at coachnatalie@rcn.com, or visited on the web. Natalie A. Gahrmann wants you to know: N-R-G Coaching Associates was founded to guide
professionals who have a career plus kids in creating a life that is more balanced, fulfilling, satisfying and successful. We are dedicated to helping working parents achieve work/life mastery. To subscribe to a free weekly newsletter for working parents, send a blank email to workingparenttips-subscribe@egroups.com.

 

Sarah Kinnel

Marketing Assistant

Moving Creates Stress in our Lives

Summer is typically a busy time for moving van companies, U-Haul and other rental truck and trailer companies to help us get all our “stuff” moved from one location to another.

Employees and companies pick summer to move when children are out of school and have a chance to acclimate to the new home and neighborhood before starting a new school. Everyone in the family is going through an adjustment as new colleagues, neighbors and friends are met. Many companies provide EAP’s for employees and their families to get some advise and assistance to get through the move emotionally smoothly.

August and early September is the time for the BIG move for college freshmen. Out of Mom and Dad’s house to the dorms or college town apartments. Do you remember doing that? What fun! What anxiety! What suspense as we went off to college to party, work hard, and earn our degrees. Hopefully in just 4 years. 

My wife and I got to experience 4 moves in a 4 month period this summer and to say the least, we are worn out. Don’t even mention the stress and anxiety of moving 3 college graduates (2 children; one with a spouse) without jobs from school to home or other temporary accomodations. There were plenty of “discussions” on how to get all this done efficiently and cheaply. Who was paying rent and who wasn’t. And of course, with this poor economy and job market not really knowing how long we would all be in these temporay accomodations.

After a challenging summer for all, I am pleased to say that 2 of the 3 have their “Dream” jobs as of mid September. What they went to school for and are actually using their degrees. My daughter-in-law as a high school counselor here in Denver and my daughter as a meeting planner in Chicago. Of course going to Chicago meant one more move, this time using a POD. That was a new experience for everyone and worked out quite well. But there were a few sleepless nights wondering where the POD with all her belongings was when it didn’t show up in Chicago. All worked out.

So now we still have my son looking for a job and he is feeling plenty of pressure to find something. But, at the same time he is taking it all in jest declaring his wife (the high school counselor) the “sugar mama”. Mom and Dad don’t see the humor with the large amount of student loans to pay back.

We all face many challenges in life, some more challenging than moving, but there is a company that can help. MINES & Associates provides EAP services to companies for their employees and their families. If you need some help with your personal life challenges check with yours or your spouse’s Human Resource or Personnel Department for information on what assistance is available to you. You can also look on the MINES website to read about various issues you may be experiencing. www.minesandassociates.com.

Have a good day!

Allan Benson

MINES and Associates

720-979-8046

HAPPENINGS FROM ACCOUNT MANAGEMENT

Mental Health Parity

Mandated federal mental health parity guidelines become effective with plan renewals January 1, 2010.  We suggest that you review your Summary Plan Descriptions for any necessary changes.

Plan design to treat mental health and chemical dependency benefits must be treated in the same manner as any other illness.  This would mean that any limitations currently in place for these benefits need to be removed and mental health/cd benefits need to be subject to the same deductible and coinsurance provisions as any other illness funded by the plan.  This includes both in and out of network provisions.

 Plans are eligible to file for an exemption to the parity requirements only after at least 6months of data after implementation of parity compliant design indicates plan costs increased greater than 2% and would be actuarially predicted to exceed 1% in subsequent plan years.  If this is the case, the plan will have to provide notification along with Actuarial certification to the DOL and Treasury to validate this exemption.

 Taft-Hartley Trusts’ compliance with parity is determined by their joint labor-management agreements.

 MINES believes that effective management of mental health/cd issues should be a key initiative in the overall goals and objectives of a company’s plan.  If you are self-insured,   MINES provides managed behavioral healthcare to assist you in your parity compliance.  

 Benefit Fair Time

It’s time to schedule your benefit fair or open enrollment meetings.  Please notify us as soon as possible if you would like for MINES to participate in your event. 

 Congratulations To:

The Children’s Hospital – The Colorado SHRM State Council and the 6 local SHRM chapters chose the hospital as one of this year’s winners of the Best Large Companies to Work for in Colorado.

 Association of Legal Administrators held their annual vendor fair on August 27.  This was by far the largest and most successful of these events to date.  A fun Mardi Gras time was had, not only by the ALA folks, but by the vendors as well. 

 Judy Braun

Peggy Hill

Britney Kirsch

Account Management

Psychology of Performance – 5

In past posts I have discussed various concepts such as where your mind goes the energy goes, beliefs and assumptions, relaxation techniques, managing stress for optimal performance and other techniques. Today, I want to discuss the role of curiousity and non-attachment in performance. When you awaken, do you start your day with a sense of curiosity or dread? Today’s Bronco/Bengal football game was a perfect example of being curious, nonattached to the outcome and realizing that life presents us opportunities to perform that we could never plan for. The Broncos were behind 6-7 with 38 seconds left. They were on the 14 yard line, had one incomplete pass and attempted a second. The pass was tipped away from the primary receiver and a second receiver from the Broncos was in the area. He caught the ball and ran 86 yards for the go ahead touchdown. The Broncos won the game.  Each day we get to train/prepare for opportunities that may occur tomorrow. Being curious and nonattached to outcome allows us to perform to our best and the outcome may not be in our hands as the Broncos and Bengals found out today. This is the case in business and our personal lives as well as sports.

Have a day filled with equanimity,

Bob

Robert A. Mines, Ph.D.

CEO & Licensed Psychologist

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